TENDON REPAIR :
The goal of tendon repair is to restore the normal function of joints or their surrounding tissues. The shoulder , elbow, knee and ankle joints are the most commonly affected by tendon injuries.
When the tendon has been identified, the surgeon sutures the damaged or torn ends of the tendon together . If the tendon has been severely injuried, a tendon graft may be required. In this procedure a piece of tendon is taken from the foot or the other part of the body and used to repair the damaged tendon. If required, tendons are reattached to the surrounding connective tissue. The surgeon inspects the area for injuries to nerves and blood vessels and closes the incision.
NERVE INJURY :
A nerve injury can result in a problem with a muscle or in a loss of sensation. In some people, it can causes pain.
They are different types of surgery that may be recommended they are 1) Nerve Repair 2) Nerve Graft 3) Nerve transfer or neurolysis.
For regenerating nerve fibers need the guidance of the nerve for direction to the muscle or sensory unit. If the nerve has been cut, a nerve repair is used to sew the two ends of a nerve together. This is usually possible when the nerve has been cut sharply. In the case of more extensive damage, it may not be possible to sew the two ends of the nerve directly together once the damaged nerve has been trimmed away.
In this cases . A small piece of donar nerve is used to fill the gap between the two nerves ends. The donar nerve is taken from other areas of the body using small, non critical, sensory nerves.
A neurolysis refers to the removal of scar from the nerve and may be used if scar tissue is blocking the nerve from regenerating.